MS. PAULA M CREHAN FNP
NPI 1073681672
Nurse Practitioner in Albany, NY

Active since December 01, 2006PECOS EnrolledAccepts Medicare Assignment
38.71/100
CMS Quality Rating
501 NEW KARNER RD, SUITE 1A, ALBANY, NY 12205(518) 452-1337(517) 724-6660 Get Directions Write a Review

NPPES record last updated: May 13, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 13, 2021, Mar 17, 2018, Dec 14, 2017 (3 updates tracked since 2017).

About Ms. Paula M Crehan Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. PAULA M CREHAN FNP (NPI 1073681672) is an individual nurse practitioner in Albany, New York, licensed in New York (331344) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Schenectady, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1073681672
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMS. PAULA M CREHANCredential: FNP
Location Address501 NEW KARNER RD, SUITE 1AAlbany, NY 12205-3882
Mailing AddressPo Box 14890Albany, NY 12212-4890 · (518) 525-5634
Fax(517) 724-6660
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateDecember 1, 2006
Last NPPES UpdateMay 13, 20213 updates tracked since enumeration
NPPES CertifiedMay 13, 2021
NPI 1073681672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in NY · 331344
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
501 NEW KARNER RD, Albany, NY 12205

Secondary Practice Location 1

Location 11270 Belmont AveSchenectady, NY 12308-2104 · Phone (518) 386-3540

Other Identifiers 6

Other201113NY · Senior Whole Health
Other4151599NY · Mvp
Medicaid01803814NY
Other000493818003NY · Bsneny
Other070425000034NY · Fidelis
Other113661NY · Ghi Hmo

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ms. Paula M Crehan Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID547363608
PECOS Enrollment IDI20070309000197
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
101 services82 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12205 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

38.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality0
Improvement Activities10
Cost100

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dietitian, Registered
501 NEW KARNER RD, SUITE 1A
ALBANY, NY 12205
Social Worker
501 NEW KARNER RD, STE 1A
ALBANY, NY 12205
Physical Therapist
501 NEW KARNER RD, ROSEWOOD PLAZA
COLONIE, NY 12205
Internal Medicine
501 NEW KARNER RD
ALBANY, NY 12205
Clinical Medical Laboratory
501 NEW KARNER RD
ALBANY, NY 12205
Family Medicine
501 NEW KARNER RD
ALBANY, NY 12205
Dietitian, Registered
501 NEW KARNER RD, STE 1A
ALBANY, NY 12205
Dietitian, Registered
501 NEW KARNER RD, SUITE 1A
ALBANY, NY 12205

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Paula Crehan's NPI number?

The NPI number for Paula Crehan is 1073681672. It was assigned to this individual provider in the NPPES registry on December 1, 2006.

Where is Paula Crehan located?

Paula Crehan practices at 501 New Karner Rd Suite 1A, Albany, NY 12205. The listed phone number is (518) 452-1337.

What is Paula Crehan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Paula Crehan enrolled in Medicare?

Yes. Paula Crehan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Paula Crehan was last updated on May 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.